Provider Demographics
NPI:1851364293
Name:SERVICIOS ORTOPEDICOS DEL OESTE,INC
Entity Type:Organization
Organization Name:SERVICIOS ORTOPEDICOS DEL OESTE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-280-3986
Mailing Address - Street 1:PO BOX 3006
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-7001
Mailing Address - Country:US
Mailing Address - Phone:787-280-3986
Mailing Address - Fax:787-280-3986
Practice Address - Street 1:PLAZA HATO ARRIBA CARR 111 KM14HM3
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-7001
Practice Address - Country:US
Practice Address - Phone:787-280-3986
Practice Address - Fax:787-280-3986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4502830001Medicare NSC